Multiple Choice Questions (MCQ)

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Category: Surgery--->Burns
Page: 2

Question 6#Print Question

Three hours after a burn injury that consisted of circumferential, third -degree burns at the wrist and elbow of the right arm, a patient loses sensation to light touch in his fingers. Motor function of his digits, however, remains intact. The most appropriate treatment for this patient now would consist of:

a. Elevation of the extremity, Doppler ultrasonography every 4 hours, and if distal pulses are absent 8 hours later, immediate escharotomy
b. Palpation for distal pulses and immediate escharotomy if pulses are absent
c. Doppler ultrasonography for assessment of peripheral flow and immediate escharotomy if flow is decreased
d. Immediate escharotomy under general anesthesia from above the elbow to below the wrist on both medial and lateral aspects of the arm

Question 7#Print Question

What is the fluid requirement of a 50-kg man with firstdegree burns to his left arm and leg, circumferential second-degree burn to his right arm, and third-degree burns to his torso and right leg.

What is the rate of initial fluid resuscitation?

a. 4.5 L over 8 hours, followed by 4.5 L over 16 hours
b. 4.5 L over 8 hours, followed by 6 L over 16 hours
c. 6 L over 8 hours, followed by 6 L over 16 hours
d. 6 L over 8 hours, followed by 9 L over 16 hours

Question 8#Print Question

A patient with a 90% burn encompassing the entire torso develops an increasing Pco2 and peak inspiratory pressure.

Which of the following is most likely to resolve this problem?

a. Increase the delivered tidal volume
b. Increase the respiratory rate
c. Increase the FIO2
d. Perform a thoracic escharotomy

Question 9#Print Question

Which of the following is FALSE regarding silver sulfadiazine?

a. Used as prophylaxis against burn wound infections with a wide range of antimicrobial activity
b. Safe to use on full and partial thickness burn wounds, as well as skin grafts
c. Has limited systemic absorption
d. May inhibit epithelial migration in partial thickness wound healing

Question 10#Print Question

Successful antibiotic penetration of a burn eschar can be achieved with:

a. Mafenide acetate
b. Neomycin
c. Silver nitrate
d. Silver sulfadiazine

Category: Surgery--->Burns
Page: 2 of 3